Individual provider Active NPI

Armen Hartoonian, DMD, CAGS

  • Prosthodontics
  • Burbank, CA
National Provider Identifier
1578685236
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
59065 Issued in CA
Practice address
401 S Glenoaks Blvd
Suite 100
Burbank, CA 91502-1448
Phone
(818) 566-4438
Fax
(818) 566-4438
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21590 MA
Prosthodontics 1223P0700X 59065 CA Primary

Addresses

Primary practice location

401 S Glenoaks Blvd
Suite 100
Burbank, CA 91502-1448

Mailing address

401 S Glenoaks Blvd
Suite 100
Burbank, CA 91502-1448
Phone (818) 566-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59065CAMDProsthodontist
21590MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Armen Hartoonian Dental Corp Past Accepting new patients
Jae Bum Lee DDS Inc Dentist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1578685236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD",
            "address_2": "SUITE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021448",
            "telephone_number": "818-566-4438",
            "fax_number": "818-566-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GLENOAKS BLVD",
            "address_2": "SUITE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021448",
            "telephone_number": "818-566-4438",
            "fax_number": "818-566-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTOONIAN",
        "first_name": "ARMEN",
        "credential": "DMD, CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21590",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "59065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.